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2019-2020 Verification WorksheetDependent Student - Tracking Group V5Your 2019-2020 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before awarding Federal Student Aid, we may ask you to confirm the information you and your parents reported on your FAFSA. To verify that you provided correct information the financial aid administrator at your school will compare your FAFSA with the information on this worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected. You and at least one parent must complete and sign this worksheet, attach any required documents, and submit the form and other required documents to the financial aid administrator at your school. Your school may ask for additional information. If you have questions about verification, contact your financial aid administrator as soon as possible so that your financial aid will not be delayed.Dependent Student’s InformationStudent’s Last Name Student’s First Name MIStudent’s SSN or ID NumberStudent’s Street Address (include apt. no.)Student’s Date of BirthCityStateZipStudent’s Email AddressStudent’s Phone NumberStudent’s Alternate or Cell Phone Number B. Dependent Student’s Family InformationNumber of Household Members: List below the people in the parents’ household. Include:The student.The parents (including a stepparent) even if the student doesn’t live with the parents.The parents’ other children if the parents will provide more than half of the children’s support from July 1, 2019, through June 30, 2020, or if the other children would be required to provide parental information if they were completing a FAFSA for 2019–2020. Include children who meet either of these standards even if the children do not live with the parents.Other people if they now live with the parents and the parents provide more than half of the other person’s support and will continue to provide more than half of their support through June 30, 2020.Number in College: Please include in the College Column below information about any household member, excluding the parents, who is, or will be, enrolled at least half time in a degree, diploma, or certificate program at an eligible postsecondary educational institution any time between July 1, 2019, and June 30, 2020, include the name of the college.If more space is needed, provide a separate page with the student’s name and ID number at the top.Full NameAgeRelationshipCollegeWill be Enrolled at Least Half Time (Yes or No)Missy Jones (example) 18Self Central University YesNote: We may require additional documentation if we have reason to believe that the information regarding the household members enrolled in eligible postsecondary educational institutions is inaccurate.C. Dependent Student’s Income Information to Be Verified1. Tax Return FilersInstructions: Complete this section if the student filed or will file a 2017 IRS income tax return(s). The best way to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA on the Web at . In most cases, no further documentation is needed to verify 2017 income information that was transferred into the student’s FAFSA using the IRS DRT if that information was not changed by the FAFSA filer.Check the box that applies:The student has used the IRS DRT in FAFSA on the Web to transfer 2017 IRS income tax return information into the student’s FAFSA.The student has not yet used the IRS DRT in FAFSA on the Web, but will use the tool to transfer 2017 IRS income tax return information into the student’s FAFSA.The student is unable or chooses not to use the IRS DRT in FAFSA on the Web, and instead will provide the school with a 2017 IRS Tax Return Transcript(s).A 2017 IRS Tax Return Transcript may be obtained through:Get Transcript by Mail - Go to , click “Get Your Tax Record.” Click “Get Transcript by MAIL.” Make sure to request the “IRS Tax Return Transcript” and NOT the “IRS Tax Account Transcript.” The Transcript is generally received within 10 business days from the IRS’s receipt of the online request.Get Transcript ONLINE - Go to , click “Get Your Tax Record.” Click “Get Transcript ONLINE.” Make sure to request the “IRS Tax Return Transcript” and NOT the “IRS Tax Account Transcript.” To use the Get Transcript Online tool, the user must have (1) access to a valid email address, (2) a text-enabled mobile phone (pay-as-you-go plans cannot be used) in the user’s name, and (3) specific financial account numbers (such as a credit card number or an account number for a home mortgage or auto loan). The transcript displays online upon successful completion of the IRS’s two-step authentication.Automated Telephone Request – 1-800-908-9946. Transcript is generally received within 10 business days from the IRS’s receipt of the telephone request.Paper Request Form – Use the links to download IRS Form 4506T-EZ or IRS Form 4506-T.The transcript is generally received within 10 business days from the IRS’s receipt of the paper request form.When requesting a transcript, use the Social Security Number (or the IRS individual taxpayer identification number) and the date of birth of the first person listed on the 2017 IRS income tax return, and the address on file with the IRS (normally this will be the address used on the 2017 IRS income tax return).In most cases, for electronic filers, 2017 IRS income tax return information is available for the IRS DRT or the IRS Tax Return Transcript within 2–3 weeks after the 2017 electronic IRS income tax return has been accepted by the IRS. Generally, for filers of 2017 paper IRS income tax returns, the 2017 IRS income tax information is available for the IRS DRT or the IRS Tax Return Transcript within 6-8 weeks after the 2017 paper IRS income tax return has been received by the IRS. Contact the financial aid office if more information is needed about using the IRS DRT or obtaining an IRS Tax Return Transcript.Check here if a 2017 IRS Tax Return Transcript(s) is provided.Check here if a 2017 IRS Tax Return Transcript(s) will be provided later.2. Nontax FilersThe instructions and certifications below apply to the student. Complete this section if the student will not file and is not required to file a 2017 income tax return with the IRS. Check the box that applies:The student was not employed and had no income earned from work in 2017.The student was employed in 2017 and has listed below the names of all employers, the amount earned from each employer in 2017, and whether an IRS W-2 form is provided. [Provide copies of all 2017 IRS W-2 forms issued to the student by his/her employers]. List every employer even if they did not issue an IRS W-2 form.If more space is needed, provide a separate page with the student’s name and ID number at the top.Employer’s Name2017 Amount EarnedIRS W-2 Attached? ABC Shipping (example) $1,280 YesD. Parent’s Income Information to Be Verified1. TAX RETURN FILERSImportant Note: The instructions below apply to each parent included in the household. Notify the financial aid office if the parents filed separate IRS income tax returns for 2017 or had a change in marital status after the end of the 2017 tax year on December 31, 2017.Instructions: Complete this section if the parents filed or will file a 2017 IRS income tax return(s). The best way to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA on the Web at .? In most cases, no further documentation is needed to verify 2017 income information that was transferred into the student’s FAFSA using the IRS DRT if that information was not changed by the FAFSA filer.Check the box that applies:The parents have used the IRS DRT in FAFSA on the Web to transfer 2017 IRS income tax return information into the student’s FAFSA.The parents have not yet used the IRS DRT in FAFSA on the Web, but will use the tool to transfer 2017 IRS income tax return information into the student’s FAFSA once the 2017 IRS income tax return has been filed.The parents are unable or choose not to use the IRS DRT in FAFSA on the Web, and instead will provide the school a 2017 IRS Tax Return Transcript(s).A 2017 IRS Tax Return Transcript may be obtained through:Get Transcript by Mail - Go to , click “Get Your Tax Record.” Click “Get Transcript by MAIL.” Make sure to request the “IRS Tax Return Transcript” and NOT the “IRS Tax Account Transcript.” The Transcript is generally received within 10 business days from the IRS’s receipt of the online request.Get Transcript ONLINE - Go to , click “Get Your Tax Record.” Click “Get Transcript ONLINE.” Make sure to request the “IRS Tax Return Transcript” and NOT the “IRS Tax Account Transcript.” To use the Get Transcript Online tool, the user must have (1) access to a valid email address, (2) a text-enabled mobile phone (pay-as-you-go plans cannot be used) in the user’s name, and (3) specific financial account numbers (such as a credit card number or an account number for a home mortgage or auto loan). The transcript displays online upon successful completion of the IRS’s two-step authentication.Telephone Request – 1-800-908-9946. Transcript is generally received within 10 business days from the IRS’s receipt of the telephone request.Paper Request Form – Use the links to download IRS Form 4506T-EZ or IRS Form 4506-T.The transcript is generally received within 10 business days from the IRS’s receipt of the paper request form.When requesting a transcript, use the Social Security Number (or the IRS individual taxpayer identification number) and the date of birth of the first person listed on the 2017 IRS income tax return, and the address on file with the IRS (normally this will be the address used on the 2017 IRS income tax return).In most cases, for electronic filers, 2017 IRS income tax return information is available for the IRS DRT or the IRS Tax Return Transcript within 2–3 weeks after the 2017 IRS electronic income tax return has been accepted by the IRS. Generally, for filers of 2017 paper IRS income tax returns, the 2017 IRS income tax information is available for the IRS DRT or the IRS Tax Return Transcript within 6-8 weeks after the 2017 paper IRS income tax return has been received by the IRS. Contact the financial aid office if more information is needed about using the IRS DRT or obtaining an IRS Tax Return Transcript.If the parents filed separate 2017 IRS income tax returns, the IRS DRT cannot be used and the 2017 IRS Tax Return Transcript(s) must be provided for each.Check here if a 2017 IRS Tax Return Transcript(s) is provided.Check here if a 2017 IRS Tax Return Transcript(s) will be provided later.2. Nontax FilersThe Instructions and certifications below apply to each parent included in the household. Complete this section if the parents will not file and are not required to file a 2017 income tax return with the IRS. Check the box that applies:Neither parent was employed, nor had income earned from work in 2017.One or both parents were employed in 2017 and have listed below the names of all employers, the amount earned from each employer in 2017, and whether an IRS W-2 form is provided. [Provide copies of all 2017 IRS W-2 forms issued to the parents by their employers]. List every employer even if they did not issue an IRS W-2 form.If more space is needed, provide a separate page with the student’s name and ID number at the top.Employer’s Name2017 Amount EarnedFor Whom?IRS W-2 Attached? Pro Auto $980 Father YesYou must also provide documentation from the IRS or other relevant tax authority dated on or after October 1, 2018 that indicates a 2017 IRS income tax return was not filed with the IRS or other relevant tax authority.Documentation includes a verification of nonfiling letter from the IRS. This form may be obtained by completing an IRS Form 4506-T and checking box 7. An IRS form 4506-T may be downloaded here.Check the box that applies:Check here is a confirmation of nonfiling is provided.Check here is a confirmation of nonfiling will be provided later.E. High School Completion StatusProvide one of the following documents to indicate the student’s high school completion status when the student begins college in 2019-2020:Check the box of the document you will attach to this worksheet:A copy of the student’s high school diploma.A copy of the student’s final official high school transcript that shows the date when the diploma was awarded.A state certificate or transcript received by a student after the student passed a State-authorized examination that the State recognizes as the equivalent of a high school diploma (GED test, HiSET, TASC, or other State-authorized examination).For students who completed secondary education in a foreign country, a copy of the “secondary school leaving certificate” or other similar document.An academic transcript that indicates the student successfully completed at least a two-year program that is acceptable for full credit toward a bachelor’s degree.For a student who was homeschooled in a State where State law requires the student to obtain a secondary school completion credential for homeschooling (other than a high school diploma or its recognized equivalent), a copy of that credential. For a student who was homeschooled in a State where State law does not require the student to obtain a secondary school completion credential for homeschooling (other than a high school diploma or its recognized equivalent), a transcript, or the equivalent, signed by the student's parent or guardian, that lists the secondary school courses the student completed and includes a statement that the student successfully completed a secondary school education in a homeschool setting.A student who is unable to obtain the documentation listed above must contact the financial aid office. In some cases, your school’s financial aid office may accept a copy of a Form DD 214 as proof of high school completion. F. Identity and Statement of Educational PurposeSection F is ONLY to be completed in person at the Institution or in front of a Notary.Identity and Statement of Education Purpose(Signed in person at the Institution)The student must appear in person at (Name of Postsecondary Education Institution) to verify his or her identity by presenting an unexpired valid government-issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued ID, or passport. The institution will maintain a copy of the student’s photo ID that is annotated by the institution with the date it was received and reviewed and the name of the official at the institution authorized to receive and review the student’s ID. In addition, the student must sign, in the presence of the institutional official, the below Statement of Education Purpose. Identity and Statement of Educational Purpose(Signed in the presence of a Notary only if unable to sign in person at the institution)If the student is unable to appear in person at (Name of Postsecondary Education Institution) to verify his or her identity, the student must provide to the institution: A copy of the unexpired valid government-issued photo identification (ID) that is acknowledged in the notary statement below, or that is presented to a notary, such as, but not limited to, a driver’s license, other state-issued ID, or passport; andThe original Statement of Educational Purpose provided below, which must be notarized. If the notary statement appears on a separate page than the Statement of Educational Purpose, there must be a clear indication that the Statement of Educational Purpose was the document notarized.In addition, the student must sign, in the presence of a notary, the below Statement of Education Purpose. The following Statement of Educational Purpose is to be completed only in the presence of designated school official or notary.Statement of Educational PurposeI certify that Iam the individual signing this Statement of Educational Purpose (Print Student’s Name)and that the Federal student financial assistance I may receive will only be used for educational purposes and to pay the cost ofattendingfor 2019-2020.(Name of Postsecondary Educational Institution)(Student’s Signature)(Date)(Student’s ID Number)(Financial Aid Administrator’s Signature)DateNotary’s Certificate of KnowledgeState ofCity/County ofOnbefore me,personally appeared,(Notary’s Name)(Printed name of signer), and proved to me on basis of satisfactory evidence of identification(Type of government-issued photo ID provided)To be the above-named person who signed the foregoing instrument.WITNESS my hand and official seal(Notary Signature)(Date Commission Expires)(Seal)Return this original form with your proof of Identity to your school’s financial aid office.G. Certification and SignaturesEach person signing this worksheet certifies that all of the information reported on it is complete and correct. WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.The student and one parent must sign and date.Student’s SignatureDateParent’s SignatureDateDo not mail this worksheet to the U.S. Department of Education. Submit this worksheet to the financial aid administrator at your school.You should make a copy of this worksheet for your records. ................
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